JUSTIN STRATFORD – Physical Therapist, NPI 1629935903

JUSTIN STRATFORD is a healthcare provider. based in Newbury park, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 309290 (CA). The NPI Number for JUSTIN STRATFORD is 1629935903

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
JUSTIN STRATFORD
NPI
1629935903
Phone
(805) 492-1500
Address
997 LA GRANGE AVE
Enumeration Date
7 January 2026
Last Update Date
7 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8188764155
Graduation Year
2025 (1 year ago)
PAC ID
5597247080
Group Practice PAC ID
7416377452
Professional Enrollment ID
I20260304001919
Address ID
CA913642733WO23388DRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

9,522 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for JUSTIN STRATFORD

  • 997 LA GRANGE AVE

    NEWBURY PARK, CA 913205312

    Phone: (805) 492-1500

    Fax: (805) 492-1504

    Type: Mailing

  • 31360 VIA COLINAS

    WESTLAKE VILLAGE, CA 913623916

    Phone: (805) 492-1500

    Fax: (805) 492-1504

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-04

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260304001919IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91320)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416377452View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
C H I R O P R A C T I CCA
Physical Therapist In Private PracticeCA
C H I R O P R A C T I CND

Reviews

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Frequently asked questions

How is JUSTIN STRATFORD identified in CMS data?
CMS-hosted NPPES data lists JUSTIN STRATFORD with NPI 1629935903.
Is JUSTIN STRATFORD still practicing?
JUSTIN STRATFORD is currently listed as active in the public NPI registry.
What is JUSTIN STRATFORD best known for clinically?
Directory data describes JUSTIN STRATFORD with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is JUSTIN STRATFORD based?
JUSTIN STRATFORD is tied to Newbury Park, California in the data we show; additional addresses may exist on the full record.
Why does JUSTIN STRATFORD have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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